Advantage Health Providers, Inc
Organization Active NPI Nurse Practitioner · Montgomery, IL
NPI 1730433384 · NPPES record last updated Nov 5, 2012
Key facts
- NPI
- 1730433384
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 209.006796 (IL)
- Legal business name
- ADVANTAGE HEALTH PROVIDERS, INC
- Practice address
- 2460 Hanbury LN
Montgomery, IL 60538-5049 - Phone
- (630) 267-2627
- Fax
- (630) 503-6600
- NPI assigned
- Nov 5, 2012
- Organization subpart
- No
Authorized official
- Name
- Victoria D Faustino, NP
- Title
- President
- Phone
- (630) 267-2627
Practitioners 2
-
Victoria Schmitt, DNP
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner |
363L00000X | 209.006796 | IL | Yes |
Addresses
Primary practice location
2460 Hanbury LN
Montgomery, IL 60538-5049
Mailing address
2460 Hanbury LN
Montgomery, IL 60538-5049
Phone (630) 267-2627
Other providers in Montgomery, IL
- 1St Dental Care
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- Advance Health Providers LLC
- Rizwan Ali Ahmed
- Deborah M Aimone
- Mustafa Albayati
- All American Home Physicians LLC
- Devante Allen
All providers in Montgomery, IL · Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.